Gastroenterology: Bile duct stones — Endoscopic retrograde cholangiopancreatography. Treatment
Cholecystitis is inflammation of the gallbladder walls. The disease progression is caused by bile outflow disorders, which can be the result of compression or obstruction of the bile ducts. In some cases, the issue can be addressed effectively by endoscopic retrograde cholangiopancreatography (ERCP).
This procedure requires a careful examination of the patient. The diagnostics program includes:
- gastroenterologist’s consultation,
- case history collection,
- clinical examination,
- complete blood count,
- biochemical blood test,
- abdominal ultrasound.
According to the test findings, the professional decides on therapeutic ERCP.
The manipulations are carried out in terms of a medication sleep. To identify the affected sites, the physician conducts an endoscopic ultrasound, i.e. endosonography. Then s/he clarifies the picture of the disease by radiography. To this end, the contrast agent is administered into the common bile duct under the endoscopic control. After obtaining the X-ray images, the physician starts eliminating the defects (removes stones, performs sphincterotomy or enters catheter to drain the stagnant bile). The surgery takes 20 to 40 minutes.
After ERCP, the patient remains under the supervision of the clinic staff. To alleviate the condition, a symptomatic therapy is prescribed. The instructions on dietary changes are provided.
On day 2 to 3, the treatment efficacy is evaluated by the control endoscopy. If the patient feels good, s/he is discharged on day 5 after examination by the gastroenterologist and receipt of required recommendations.Hide